DEWAYNE W MACK

ALEXANDRIA, VA
NPI1639472699
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WC0400X Registered Nurse, Case Management
(Licence: VA  0001142876)
Enumeration Date2010-12-14
Last Update Date2010-12-14
Business Address
Mr. DEWAYNE W MACK Registered Nurse
8119 HOLLAND RD
ALEXANDRIA, VA 22306-3135
Phone number: 703-360-6910
Mailing Address
Mr. DEWAYNE W MACK Registered Nurse
8119 HOLLAND RD
ALEXANDRIA, VA 22306-3135
Phone number: 703-360-6910